Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Constance Guille, Courtney King, Kathryn King, Ryan Kruis, Dee Ford, Lizmarie Maldonado, Paul J Nietert, Kathleen T Brady, Roger B Newman
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引用次数: 0

Abstract

Effective screening and referral practices for perinatal mental health disorders, perinatal substance use disorders (SUDs), and intimate partner violence are greatly needed to reduce maternal morbidity and mortality. We conducted a randomized controlled trial from January 2021 to April 2023 comparing outcomes between Listening to Women and Pregnant and Postpartum People (LTWP), a text- and telephone-based screening and referral program, and usual care in-person screening and referral within the perinatal care setting. Participants assigned to LTWP were three times more likely to be screened compared with those assigned to usual care. Among participants completing a screen, those assigned to LTWP were 3.1 times more likely to screen positive, 4.4 times more likely to be referred to treatment, and 5.7 times more likely to attend treatment compared with those assigned to usual care. This study demonstrates that text- and telephone-based screening and referral systems may improve rates of screening, identification, and attendance to treatment for perinatal mental health disorders and perinatal SUDs compared with traditional in-person screening and referral systems. System-level changes and complementary policies and insurance payments to support adoption of effective text- and telephone-based screening and referral programs are needed.

短信和电话筛查与转介提高了对产妇心理健康问题的检测和治疗。
为了降低孕产妇发病率和死亡率,我们亟需针对围产期精神疾病、围产期药物使用障碍(SUD)和亲密伴侣暴力进行有效的筛查和转诊。我们在 2021 年 1 月至 2023 年 4 月期间进行了一项随机对照试验,比较了基于短信和电话的筛查和转诊计划 "倾听妇女、孕妇和产后人群的声音"(LTWP)与常规护理在围产期护理环境中的面对面筛查和转诊之间的结果。与接受常规护理的参与者相比,接受LTWP筛查的参与者要多三倍。在完成筛查的受试者中,与接受常规护理的受试者相比,接受 LTWP 的受试者筛查结果呈阳性的可能性高出 3.1 倍,接受转诊治疗的可能性高出 4.4 倍,接受治疗的可能性高出 5.7 倍。这项研究表明,与传统的面对面筛查和转诊系统相比,基于短信和电话的筛查和转诊系统可以提高围产期精神疾病和围产期药物依赖的筛查率、识别率和就诊率。有必要进行系统层面的改革,并制定配套政策和保险支付,以支持采用有效的基于短信和电话的筛查和转诊计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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